Evidence map›Paper›PMID 26978028›Full record

ArticleInvestigative ophthalmology & visual science2016

Changes in Retinal Nerve Fiber Layer Reflectance Intensity as a Predictor of Functional Progression in Glaucoma.

Stuart K Gardiner, Shaban Demirel, Juan Reynaud, Brad Fortune

Abstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

  1. Article
  2. Article
  3. Intraday repeatability of macular layers measurements in glaucomatous and non-glaucomatous patients using spectral-domain optical coherence tomography.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  4. Article
  5. Predicting perimetric defects from en face maps of retinal nerve fibre layer reflectance.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Optical Coherence Tomography and Glaucoma.Annual review of vision science · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Discovery and clinical translation of novel glaucoma biomarkers.Progress in retinal and eye research · 2021
    Review
  20. Annals of translational medicine · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Stuart K Gardiner
Shaban Demirel
Juan Reynaud
Brad Fortune

Funding

Functional Testing for GlaucomaR01EY020922 · NEI · LEGACY EMANUEL HOSPITAL AND HEALTH CENTER · PI GARDINER, STUART · 2011 to 2021
$3.2M
Predicting the rate of progression in glaucomaR01EY019674 · NEI · LEGACY EMANUEL HOSPITAL AND HEALTH CENTER · PI DEMIREL, SHABAN · 2009 to 2013
$1.8M
Axonal cytoskeletal changes in experimental glaucomaR01EY019327 · NEI · LEGACY EMANUEL HOSPITAL AND HEALTH CENTER · PI FORTUNE, BRAD · 2009 to 2014
$1.7M
NEI NIH HHS R01 EY019327NEI NIH HHS R01-EY019327NEI NIH HHS R01 EY019674NEI NIH HHS R01-EY019674NEI NIH HHS R01 EY020922NEI NIH HHS R01-EY020922
6 · The paper itself

Abstract

purposeWe determined whether longitudinal changes in retinal nerve fiber layer (RNFL) reflectance provide useful prognostic information about longitudinal changes in function in glaucoma.

methodsThe reflectance intensity of each pixel within spectral-domain optical coherence tomography (SD-OCT) circle scans was extracted by custom software. A repeatability cohort comprising 53 eyes of 27 participants (average visual field mean deviation [MD] -1.65 dB) was tested five times within a few weeks. To minimize test-retest variability in their data, a reflectance intensity ratio was defined as the mean reflectance intensity of pixels within the RNFL divided by the mean between the RNFL and RPE. This was measured in a separate longitudinal cohort comprising 310 eyes of 205 participants tested eight times at 6-month intervals (average MD, -0.99 dB; median rate of change, -0.09 dB/y). The rate of change of this ratio, together with the rate of RNFL thinning, and their interaction, were used to predict the rate of change of MD.

resultsIn univariate analyses, the rate of RNFL thinning was predictive of the rate of MD change (P < 0.0001), but the rate of change of reflectance intensity ratio was not (P = 0.116). However, in a multivariable model, the interaction between these two rates significantly improved upon predictions of the rate of functional change made using RNFL thickness alone (P = 0.038).

conclusionsFor a given rate of RNFL thinning, a reduction in the RNFL reflectance intensity ratio is associated with more rapid functional deterioration. Incorporating SD-OCT reflectance information may improve the structure-function relation in glaucoma.

Indexed as

AgedAged, 80 and overDisease ProgressionFemaleFollow-Up StudiesGlaucomaHumansIntraocular PressureMaleMiddle AgedNerve FibersPrognosisProspective StudiesReproducibility of ResultsRetinaTomography, Optical Coherence

Identifiers

PMID26978028
PMCPMC4794083

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.